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NPI Code Detail

MEDICARE: REBECCA HICKS FNP

MEDICARE: REBECCA HICKS FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner217246LA
2363LP2300XPrimary Care Nurse Practitioner217246LA

General Provider Information

NPI Number : 1659230712
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA HICKS FNP
Provider Business Mailing Address
First Line : 64 WELDON CIR
Second Line :
City : PONCHATOULA
State : LA
Zip : 70454-3600
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 19065 DR JOHN LAMBERT DR STE 2000B
Second Line :
City : HAMMOND
State : LA
Zip : 70403-1027
Country : US
Telephone Number : 985-293-2030
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2026
Last Update Date : 04/09/2026

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Directions to “ REBECCA HICKS FNP” Practice Location

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